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Management of diabetes in older adults 

Management of diabetes in older adults
Chapter:
Management of diabetes in older adults
Author(s):

Leocadio Rodríguez Mañas

, Marta Castro Rodríguez

, and Alan J. Sinclair

DOI:
10.1093/med/9780198701590.003.0066
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date: 23 October 2019

Diabetes mellitus is a highly prevalent chronic disorder that compromises physical and cognitive function, well-being, and quality of life in older adults and is often accompanied by several comorbid conditions. It shares some pathophysiological characteristics with the ageing process and increases the risk of several adverse outcomes such as frailty, sarcopenia, disability, and vascular dysfunction. Management involves an integrated, continued, coordinated diagnostic and therapeutic approach that takes into account total and healthy (free of disability) life expectancy, comorbidities, access to care, and is focused on achieving and maintaining the best functional status attainable. Physical exercise, based on resistance training programmes, a nutritional approach oriented to avoid malnutrition, and a drug treatment based on the functional and cognitive status of the patient are the cornerstones of treatment.

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